person
Tara Deshee Blackwell, APRN
Women's Health Nurse Practitioner in Paducah, Kentucky
NPI 1326265430

Tara Deshee Blackwell is a Women's Health Nurse Practitioner based in Chicago, KY and is specialized in Women's Health. Tara Deshee Blackwell practices in Paducah, KY and has the professional credentials of APRN. The NPI Number for Tara Deshee Blackwell is 1326265430 and holds a License No. 3005131 (Kentucky).

The current practice location address for Tara Deshee Blackwell is 2605 Kentucky Ave, Paducah, KY and can be reached out via phone at 270-415-8965 and via fax at 855-855-4585. You can also correspond with Tara Deshee Blackwell through the mailing address at PO BOX 776351, CHICAGO, IL - 60677-6351 (mailing address contact number: 502-588-9490).

Location: 2605 Kentucky Ave, Paducah, KY, 60677-6351
person
Provider Profile Details
NPI Number
1326265430
Provider Name
Tara Deshee Blackwell
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
2605 Kentucky Ave, Paducah, KY, 60677-6351
Phone Number
270-415-8965
Fax Number
855-855-4585
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100096070 05 KY
institution
Provider Business Practice Location Address Details
Address
2605 Kentucky Ave
City
State
Zip
42003-3800
Phone Number
270-415-8965
Fax Number
855-855-4585
person
Provider Business Mailing Address Details
Address
2605 Kentucky Ave
City
State
Zip
42003-3800
Phone Number
270-415-8965
Fax Number
855-855-4585
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3005131 (Kentucky)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
3005131 (Kentucky)
Definition
Definition to come...
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